RSI (Resource Services, Inc.)
5151 Belt Line Road, Suite 900
Dallas, Texas 75254
1-800-527-6824
(214) 866-7500
FAX: (214) 866-7751
E-mail: info@pursuant.net

Your Name: Position: Organization: Organization Address: City: State: Alaska Alabama American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas (except Canada) Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Postal code: Phone Number: Email Address: Annual Operating Budget: Amount of Anticipated Capital Goal: Purpose: Construction Relocation Renovation Debt Retirement Ongoing Budget Requirements Other (Describe Below) Projected Timeframe When Funds Will Be Needed: Week(s)Month(s)Year(s) Comments/Concerns: